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AI in practice: Opportunities, obstacles, and outlook. 人工智能的实践：机遇、障碍和前景。
IF 0.9 Q4 NURSING
NURSE PRACTITIONER
Pub Date : 2025-06-01 Epub Date: 2025-05-27 DOI: 10.1097/01.NPR.0000000000000326
Julia L Rogers, Manisa Baker

Abstract: The integration of artificial intelligence (AI) into clinical practice represents a paradigm shift in healthcare delivery, with significant implications for NPs. This emerging technology offers a myriad of benefits, including enhanced practice efficiency, streamlined documentation processes, and potential reduction in healthcare expenditures. However, the implementation of AI is not without challenges. Ethical considerations, data privacy concerns, and lack of comprehensive training present significant hurdles that must be addressed. NPs are uniquely positioned to play a pivotal role in the judicious implementation of AI technologies, ensuring that the fundamental tenets of compassionate, patient-centered care are not compromised.

摘要：人工智能（AI）与临床实践的整合代表了医疗保健服务的范式转变，对np具有重要意义。这种新兴技术提供了无数的好处，包括提高实践效率、简化文档流程和潜在的医疗保健支出减少。然而，人工智能的实施并非没有挑战。伦理考虑、数据隐私问题和缺乏全面培训是必须解决的重大障碍。NPs在明智地实施人工智能技术方面具有独特的地位，可以发挥关键作用，确保富有同情心、以患者为中心的护理的基本原则不受损害。
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引用次数: 0
Evaluation of secondary amenorrhea in primary care. 初级保健对继发性闭经的评价。
IF 0.9 Q4 NURSING
NURSE PRACTITIONER
Pub Date : 2025-06-01 Epub Date: 2025-05-27 DOI: 10.1097/01.NPR.0000000000000319
Leslie Hopkins, Susannah Spero, Genevieve Hofmann

Abstract: Amenorrhea can be a sign of a significant health issue and often causes distress for the patient. Secondary amenorrhea is more common than primary amenorrhea, and patients often present to the primary care setting for evaluation. Common causes, evaluation methods, and recommended treatment options appropriate for the primary care setting will be discussed.

摘要：闭经可能是一个重要的健康问题的迹象，往往会给病人带来痛苦。继发性闭经比原发性闭经更常见，患者经常到初级保健机构进行评估。常见的原因，评估方法，并建议治疗方案适合初级保健设置将进行讨论。
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引用次数: 0
50 years, 50 voices: NPs on scope of practice and advocacy. 50年，50种声音：关于实践范围和倡导的NPs。
IF 0.9 Q4 NURSING
NURSE PRACTITIONER
Pub Date : 2025-06-01 Epub Date: 2025-05-27 DOI: 10.1097/01.NPR.0000000000000323

In celebration of its 50th year in publication, The Nurse Practitioner has asked 50 influential NPs for their thoughts on topics of import to the profession and its future, to be published in select months throughout the year. This month, five NPs share their wisdom on scope of practice and advocacy.

为庆祝创刊50周年，《执业护士》邀请了50位有影响力的国家护士就对该专业及其未来的重要主题发表看法，并将在全年的选定月份出版。本月，五位国家规划人员分享了他们在实践范围和倡导方面的智慧。
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引用次数: 0
Common cancers among the aging population: What NPs need to know. 老年人口中常见的癌症：np需要知道什么。
IF 0.9 Q4 NURSING
NURSE PRACTITIONER
Pub Date : 2025-06-01 Epub Date: 2025-05-27 DOI: 10.1097/01.NPR.0000000000000321
Sincere McMillan, Soo Jung Kim, Heidi Yulico, Richard Li, Margaret Allison, Desiree Bascombe, Xin Lin, Beatriz Korc Grodzicki

Abstract: The incidence rates for cancer increase from fewer than 25 cases per 100,000 people among those younger than age 20 years to about 350 per 100,000 among those ages 45 to 49 years and to more than 1,000 per 100,000 among those age 60 years and older. This article explores current screening guidelines for the most common cancers in the US among older adults - breast, lung and bronchus, colorectal, and prostate, with a focus on older adults. Other oncologic-focused special considerations for older adults are also addressed.

摘要：癌症发病率从20岁以下人群的每10万人中不到25例增加到45 - 49岁人群的每10万人中约350例，60岁及以上人群的每10万人中超过1000例。本文探讨了目前美国老年人中最常见的癌症——乳腺癌、肺癌和支气管癌、结肠直肠癌和前列腺癌的筛查指南，重点关注老年人。还讨论了针对老年人的其他肿瘤重点特别注意事项。
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引用次数: 0
Lower extremity ulceration: Differentiating arterial from venous in presentation, diagnosis, and management. 下肢溃疡：鉴别动脉与静脉溃疡的表现、诊断与处理。
IF 0.6 Q4 NURSING
NURSE PRACTITIONER
Pub Date : 2025-06-01 Epub Date: 2025-05-27 DOI: 10.1097/01.NPR.0000000000000328
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引用次数: 0
Evaluation of secondary amenorrhea in primary care. 初级保健对继发性闭经的评价。
IF 0.6 Q4 NURSING
NURSE PRACTITIONER
Pub Date : 2025-06-01 Epub Date: 2025-05-27 DOI: 10.1097/01.NPR.0000000000000329
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引用次数: 0
The clinical editor's role and ensuring a smooth publication process. 临床编辑的角色和确保顺利的出版过程。
IF 0.6 Q4 NURSING
NURSE PRACTITIONER
Pub Date : 2025-06-01 Epub Date: 2025-05-27 DOI: 10.1097/01.NPR.0000000000000327
Kimberly Yoon
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引用次数: 0
Early identification and management of early-onset preeclampsia: A case report. 早发性子痫前期的早期识别和处理：1例报告。
IF 0.6 Q4 NURSING
NURSE PRACTITIONER
Pub Date : 2025-06-01 Epub Date: 2025-05-27 DOI: 10.1097/01.NPR.0000000000000313
Kelsey B White, Casey S Hopkins
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引用次数: 0
Lower extremity ulceration: Differentiating arterial from venous in presentation, diagnosis, and management. 下肢溃疡：鉴别动脉与静脉溃疡的表现、诊断与处理。
IF 0.9 Q4 NURSING
NURSE PRACTITIONER
Pub Date : 2025-06-01 Epub Date: 2025-05-27 DOI: 10.1097/01.NPR.0000000000000322
Karen L Bauer

Abstract: Venous and arterial insufficiency are two common etiologies of lower extremity ulceration that present with different risk factors, symptoms, and characteristics. Diagnostic and management principles are based on accurate assessment, which mandates knowledge of the underlying disease processes and the complex interplay of contributing factors. Early diagnosis, initiation of basic management principles, and referral are paramount to improving key patient- and systems-related outcomes. NPs, especially in the primary care setting, are uniquely positioned for early recognition of these diseases, which can have a significant impact on morbidity, mortality, and quality of life for patients with venous or arterial insufficiency ulcerations.

摘要：静脉和动脉功能不全是下肢溃疡的两种常见病因，但存在不同的危险因素、症状和特征。诊断和管理原则以准确的评估为基础，这要求了解潜在的疾病过程和促成因素的复杂相互作用。早期诊断、启动基本管理原则和转诊对于改善患者和系统相关的关键结果至关重要。NPs，特别是在初级保健机构中，在早期识别这些疾病方面具有独特的地位，这可能对静脉或动脉功能不全溃疡患者的发病率、死亡率和生活质量产生重大影响。
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引用次数: 0
Pharmacologic management of diabetic kidney disease and other considerations. 糖尿病肾病的药理治疗及其他注意事项。
IF 0.9 Q4 NURSING
NURSE PRACTITIONER
Pub Date : 2025-05-01 Epub Date: 2025-04-24 DOI: 10.1097/01.NPR.0000000000000306
Daniel Mead, Ian Rios, Sonya Cooks, Angela Peters, Annie Rodgers, Molly Fruecht

Abstract: Diabetic kidney disease (DKD) remains one of the most frequent causes of chronic kidney disease, and the prevalence of the condition continues to increase. With increasing responsibilities, NPs are uniquely positioned to greatly impact the care of patients with DKD. It is imperative that primary care NPs recognize, refer, and even initiate appropriate treatment for DKD. This article will cover some major points and advances in the management of DKD, with a particular focus on recommended medications.

摘要：糖尿病肾病（DKD）是慢性肾脏疾病最常见的病因之一，且患病率持续上升。随着责任的增加，NPs具有独特的地位，可以极大地影响DKD患者的护理。初级保健NPs必须识别、转诊，甚至开始对DKD进行适当治疗。本文将涵盖DKD管理的一些要点和进展，特别关注推荐的药物。
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引用次数: 0
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